Proud Mary Bras

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROUD MARY BRAS

Practice address

6305 Wall St
Sterling Heights, MI 48312-1078

Phone

(877) 627-9272

NPI assigned

Dec 19, 2008

Organization subpart

Yes

Parent organization

HALPIN DESIGNAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tracy Marie Bush

Title

Prosthetic Business Unit Manager

Phone

(586) 264-2283

Specialties & licenses 1

Addresses

Part of

Proud Mary Bras

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1821234998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 WALL ST",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121078",
            "telephone_number": "877-627-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 WALL ST",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121078",
            "telephone_number": "877-627-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUD MARY BRAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALPIN DESIGN",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROSTHETIC BUSINESS UNIT MANAGER",
        "authorized_official_telephone_number": "586-264-2283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.